Gupta M, Gupta O K, Yaduvanshi R K, Upadhyaya J
Department of Burns and Plastic Surgery, SMS Hospital, Jaipur, India.
Burns. 1993 Feb;19(1):47-51. doi: 10.1016/0305-4179(93)90100-m.
This report describes the statistical analysis of 629 burn patients treated between January 1989 and August 1990. The analysed data include age, sex, cause of burn and mortality in relation to age, cause and extent of burn injuries. Additional information with regard to socioeconomic status, marital status, place of burn, family size, type of burn, time of accident and time between injury and hospital admission was obtained from analysis of 271 of the 629 patients admitted between January 1990 and August 1990. In our series, adolescent and young adults (11-40 years) comprised 64.8 per cent of the patients. Males formed 54 per cent and females 46 per cent of the total burns. 82.65 per cent of the patients received their burns at home. Most of our patients belonged to the low or lower middle socioeconomic strata and had large families. 95.5 per cent of the burns were accidental in nature. Flame burns comprised 67.9 per cent and scalds comprised 16.4 per cent of the total burns. The overall mortality rate was 48.3 per cent. The mortality rate was comparatively low in children (20.1 per cent). Flame burns resulted in maximum deaths (62.1 per cent). In patients with over 40 per cent burns, the mortality was about 80 per cent. There were no survivors in patients with over 70 per cent TBSA burns in our series.
本报告描述了对1989年1月至1990年8月期间治疗的629例烧伤患者的统计分析。分析的数据包括年龄、性别、烧伤原因以及与年龄、烧伤原因和程度相关的死亡率。关于社会经济状况、婚姻状况、烧伤地点、家庭规模、烧伤类型、事故发生时间以及受伤至入院时间的其他信息,是通过对1990年1月至1990年8月期间收治的629例患者中的271例进行分析获得的。在我们的系列研究中,青少年和青年成年人(11 - 40岁)占患者总数的64.8%。男性烧伤患者占总数的54%,女性占46%。82.65%的患者在家中烧伤。我们的大多数患者属于社会经济地位低或中下阶层,且家庭规模较大。95.5%的烧伤为意外伤害。火焰烧伤占总烧伤数的67.9%,烫伤占16.4%。总体死亡率为48.3%。儿童的死亡率相对较低(20.1%)。火焰烧伤导致的死亡人数最多(62.1%)。烧伤面积超过40%的患者,死亡率约为80%。在我们的系列研究中,烧伤面积超过70%TBSA的患者无幸存者。